Brief Answer:
Yes Tramadol can be helpful

Detailed Answer:
Hello and welcome,

Yes, research has shown that Tramadol can be helpful, if it is taken sometime before the act.
Herbs like ashwagandha are also useful. Tab Ashwagandha can be used.
It is better to take any medicine under a doctor's guidance.
Best is to find the cause and address it. Many times stress is the cause. Its better to first know the partner before getting intimate. If you are married, then commitment is needed for making the marriage successful. Also get blood tests done annually. Have healthy lifestyle and exercise regularly.
There are many techniques like squeeze method that an be tried.
Regards
Dr Vaishalee

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